Donna M Quezada, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034214 Issued in WA

Practice address

28801 SE 480TH St
Enumclaw, WA 98022-9357

Phone

(360) 825-1344

Fax

(360) 802-2442

NPI assigned

Feb 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quezada Enterprises Inc

  dba Shepherd Chiropractic

  • Chiropractor
  • Enumclaw, WA
  • NPI 1366086530
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386788693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28801 SE 480TH ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229357",
            "telephone_number": "360-825-1344",
            "fax_number": "360-802-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28801 SE 480TH ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229357",
            "telephone_number": "360-825-1344",
            "fax_number": "360-802-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puget Sound Specialty Physicians, PLLC
• Jamie D Purple, LMP
• Julianna Dionne Pyle Vanhoof, COTA/L
• Patricia Ann Reyes Quaine, M.D.
• Quezada Enterprises Inc (Shepherd Chiropractic)
• Sandra Raby
• Donna Race
• Rainier Counseling
• Rainier Counseling and Services, LLC
• Rainier Foot and Ankle Associates

• Chiropractor in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.